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07070172 Receipts/Permits
Item 1 of 1 CITY OF CARMEL PERMIT RECEIPT OPERATOR: plux COpy # 1 See: Twp: Rng: Sub: Blk: Lot: PARCEL ID ........: MASSAGE THERAPIST PERMIT DATE ISSUED.......: RECEIPT #.........: REFERENCE ID # ...: SITE ADDRESS ...... SUBDIVISION ......: CITY. ... . . . . . . . . . : IMPACT AREA ......: OWNER ............: ADDRESS ..........: CITY/STATE/ZIP ...: RECEIVED FROM ....: CONTRACTOR .......: COMPANy.......... : ADDRESS ..........: CITY/STATE/ZIP ...: TELEPHONE........ . FEE ID UNIT QUANTITY MT-FEE FLAT RATE 1.00 TOTAL PERMIT : METHOD OF PAYMENT CASH TOTAL RECEIPT : AMOUNT 20.00 ----~-~----- ------------ 20.00 07/25/2007 25835 07070172 WORK DONE IN CLIENTS HOMES CARMEL PREMIER SPORTS CHIROPRACTIC 120 E. CARMEL DR. CARMEL, IN 46032 ANNA ROUSCULS LIC # MT-ROUSA ROUSCULS, ANNA TERESA 6168 COMPTON ST., APT. A INDIANAPOLIS, IN 46220 ~ AMOUNT PD-TO-DT THIS REC NEI1 BAL ---------- ---------- ---------- ---------- 20. 00 O. 00 20. 00 O. 00 ---------- ---------- ---------- ---------- , 20 00 0 .00 20. 00 0.00 NUMBER